Ambulating with a Gait Belt

Ambulating with a Gait Belt

Categories Testing Tips Adsense Products Book & DVD Combo $64.99 $59.99 Complete Kit: Books, DVD and supplies $159.00 $129.00 CNA Textbook $42.00 Student Practice Kit $59.99 CNA Skills Made Easy DVD $29.99 Ambulating with a Gait Belt Care Plan: Assist a resident to stand and walk approximately 10 feet using a transfer/gait belt. The resident needs some assistance to stand. The resident will be seated in a chair upon beginning this skill and will be returned to the chair after walking.   Please click HERE to learn more about energy conservation and gait belt use. Respirations Dress/Weak Arm FAQ’s Click on each question to view the answer… How far do I have to walk the patient? As far as the care plan directs you to.  For the exam, the care plan will direct you to walk the patient at least 10 feet. Do I have to actually say that they have shoes on? Yes. Since shoes are an important aspect of safety, the evaluator needs to know that you are aware of the need for shoes.  The patient will already have shoes on for this skill, but you have to verbally acknowledge that they are wearing shoes. What if the patient doesn't have shoes? For the exam, the patient will be wearing shoes. In a clinical setting, if the patient does not have shoes you will alert the nurse of the need for shoes. Most patients in a clinical setting will have shoes available. Do I have to return the patient to the chair? For the exam, you will return the patient to the chair that the patient was sitting in at...
Perform Passive Range of Motion to Shoulder

Perform Passive Range of Motion to Shoulder

Categories Testing Tips Adsense Products Book & DVD Combo $64.99 $59.99 Complete Kit: Books, DVD and supplies $159.00 $129.00 CNA Textbook $42.00 Student Practice Kit $59.99 CNA Skills Made Easy DVD $29.99 Perform Passive Range of Motion to Shoulder Care Plan: Provide flexion/extension and abduction/adduction exercises to the resident’s right shoulder three times each. The resident is not able to help with the exercises. Drainage Bag ROM Elbow/Wrist   FAQ’s Click on each question below to view the answers… What are the technical terms for each exercise? An up/down motion is flexion/extension. This motion looks like the resident is asking a question by extending their arm upward above their head, as straight as possible.  A side/side motion is abduction/adduction. This motion looks like a bird flapping their wing by bringing the arm out to the side upward toward the head and returning to lie beside the body.  An around motion is called rotation. This motion can be performed by rolling the upper and lower arm toward the torso, then away from the torso. Will all of these exercises be required for the exam? No. All CNAs need to be aware of how each exercise is performed, only flexion/extension and abduction/adduction are performed for the state exam. What if I perform the exercises on the wrong side? Knowing right from left in medicine is very important.  Performing exercises on the wrong side can cause injury to the patient.  It is very important to follow the care plan exactly. What if the patient experiences pain during the procedure? The exercises should be modified so that the extremity is only moved to a...
Perform Passive Range of Motion to Elbow and Wrist

Perform Passive Range of Motion to Elbow and Wrist

Categories Testing Tips Adsense Products Book & DVD Combo $64.99 $59.99 Complete Kit: Books, DVD and supplies $159.00 $129.00 CNA Textbook $42.00 Student Practice Kit $59.99 CNA Skills Made Easy DVD $29.99 Perform Passive Range of Motion to Elbow and Wrist Care Plan: Provide the following range of motion exercises to the resident’s right elbow/wrist: flexion/extension of the elbow and flexion/hyperextension of the wrist three times each. The resident is not able to help with the exercises.  ROM Shoulder   ROM Hip/Knee/Ankle   FAQ’s Click on each question below to view the answer… Why do we only perform one exercise on the elbow? Because the elbow is a hinge joint, it only moves in one direction (up and down).  Performing exercises other than this one can cause injury because the joint is not designed to move in those directions. Do we have to describe exactly what we are going to do for each exercise? Yes.  By explaining the motions clearly to the patient, using terms and motions they understand, the patient will not be as fearful and will cooperate more fully with the exercises.  Not explaining these exercises prior to performing them is a violation of patient rights, because the patient has the right to participate in their care. How will I know if the patient is experiencing pain? You must be alert for verbal and non-verbal cues that the patient may be experiencing pain.  Things like grimacing, moaning, wincing, saying “ouch” or stiffening up during the skill are all signs that the patient may be experiencing pain.  It is important to ask the patient frequently about pain when performing each exercise. ...
Perform Passive Range of Motion to Hip, Knee and Ankle

Perform Passive Range of Motion to Hip, Knee and Ankle

Categories Testing Tips Adsense Products Book & DVD Combo $64.99 $59.99 Complete Kit: Books, DVD and supplies $159.00 $129.00 CNA Textbook $42.00 Student Practice Kit $59.99 CNA Skills Made Easy DVD $29.99 Perform Passive Range of Motion to Hip, Knee and Ankle Care Plan: Provide the following range of motion exercises to the resident’s right hip, knee and ankle: flexion/extension of hip/knee and dorsiflexion/plantar flexion to the ankle three times each. The resident is unable to help with the exercises. ROM Elbow/Wrist Transfer FAQ’s Click on each question below to view the answers… Will all of these exercises be required for the state test? The hip and knee will need flexion/extension exercises (an up/down motion) but that is the only exercise that can be done on a hinge joint (like the knee). This will look like the resident is climbing stairs. The ankle will require dorsiflexion/plantar flexion exercises (up/down motion) as well. These are the only exercises to be done for the exam. Always follow the care plan. When are the knee exercises done? The knee is a hinge joint and only moves in one direction:  up and down.  This motion is integrated into the flexion/extension (up/down) hip exercise.  Both the hip and knee joints are bent during this motion (looks like the patient is climbing stairs).  This is the only exercise performed on the knee.  Performing exercises other than this one can cause injury because the joint is not designed to move in those directions. Where should I hold the leg for these exercises? CNAs should always provide support at two points on the extremity being exercised.  The CNA should...
Transfer Patient from Bed to Wheelchair

Transfer Patient from Bed to Wheelchair

Categories Testing Tips Adsense Products Book & DVD Combo $64.99 $59.99 Complete Kit: Books, DVD and supplies $159.00 $129.00 CNA Textbook $42.00 Student Practice Kit $59.99 CNA Skills Made Easy DVD $29.99 Transfer Resident from Bed to Wheelchair Care Plan: Transfer a resident from bed into a wheelchair using pivot transfer technique and a transfer/gait belt. The resident will be lying in a bed and is able to stand but cannot take steps. ROM Hip/Knee/Ankle Return to List FAQ’s Click on each question below to view the answer… What if the patient doesn’t have shoes? For the exam, the patient will have shoes available (they wore them into the testing center).  In a clinical setting, most patients have shoes in their closet that may be worn for transferring.  Ask the patient where their shoes are located or look in the closet and bedside cabinet.  If the patient has no shoes, notify the nurse. Can the patient help with this skill? For the exam, the patient can stand with assistance, but cannot take steps.  Therefore, this skill must be accomplished as a pivot transfer, where the CNA lifts the patient to a standing position and pivots them into the wheelchair in one smooth motion. Isn’t leaving a patient in a locked wheelchair considered a restraint? No.  It is a safety measure.  If the wheelchair is left unlocked and the patient tries to get up, the wheelchair can roll out from under him and he can fall.  If the floor is uneven, the wheelchair can roll the patient into a wall or furniture. And wandering dementia patients may take your wheelchair-bound patient...